{% extends "agmstaff/index.html" %}
{% block title %}工厂及宿舍报修提交{% endblock %}
{% block title0 %}工厂及宿舍报修提交{% endblock %}
{% block page_bd %}
        <form method="POST">
        <div class="weui-cells">
            <div class="weui-cell weui-cell_select weui-cell_select-after">
                <div class="weui-cell__hd">
                    <label for="" class="weui-label">报修地点</label>
                </div>
                <div class="weui-cell__bd">
                    <select class="weui-select" name="place">
                        <option value="1">工厂</option>
                        <option value="2">宿舍</option>
                    </select>
                </div>
            </div>
            <div class="weui-cell weui-cell_select weui-cell_select-after">
                <div class="weui-cell__hd">
                    <label for="" class="weui-label">报修楼层</label>
                </div>
                <div class="weui-cell__bd">
                    <select class="weui-select" name="floor">
                        <option value="1">一楼</option>
                        <option value="2">二楼</option>
                        <option value="3">三楼</option>
                        <option value="4">四楼</option>
                    </select>
                </div>
            </div>
        </div>
        <div class="weui-cells weui-cells_form">
            <div class="weui-cell weui-cell_form">
                <div class="weui-cell__hd">
                    <label class="weui-label">报修内容</label>
                </div>
                <div class="weui-cell__bd">
                    <input class="weui-input" name="content" placeholder="请输入报修的内容">
                </div>
            </div>
        </div>
        <div class="weui-cells__title">故障内容简单描述</div>
        <div class="weui-cells weui-cells_form">
            <div class="weui-cell">
                <div class="weui-cell__bd">
                    <textarea class="weui-textarea" name="des" placeholder="请输入故障内容简单描述" rows="3"></textarea>
                </div>
            </div>
        </div>
        <div class="weui-btn-area">
            <a class="weui-btn weui-btn_primary" href="javascript:" id="submitBtn">确定提交</a>
            <a class="weui-btn weui-btn_default" href=".">返回主页</a>
        </div>
        </form>
{% endblock %}
